Table 3.
Proportion of Non-hospital-based Primary Care Visits Addressing Specific Clinical Items
| Clinical items | 1997 | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | P Value* |
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnoses (%): | <0.001 | |||||||||
| 0 Diagnoses | 1 | 1 | 1 | 2 | 1 | 2 | 1 | 1 | 1 | |
| 1 Diagnosis | 50 | 47 | 41 | 44 | 42 | 39 | 37 | 38 | 37 | |
| 2 Diagnoses | 28 | 27 | 29 | 28 | 28 | 29 | 28 | 27 | 27 | |
| 3 Diagnoses | 21 | 26 | 29 | 26 | 29 | 30 | 33 | 35 | 35 | |
| Medications (%): | <0.001 | |||||||||
| 0 Medications | 24 | 21 | 21 | 22 | 26 | 23 | 21 | 22 | 16 | |
| 1 Medication | 30 | 28 | 26 | 27 | 25 | 26 | 26 | 26 | 21 | |
| 2 Medications | 21 | 20 | 21 | 20 | 17 | 19 | 19 | 17 | 17 | |
| 3 Medications | 10 | 12 | 12 | 11 | 10 | 11 | 11 | 11 | 12 | |
| 4 Medications | 6 | 7 | 8 | 8 | 6 | 6 | 7 | 6 | 8 | |
| 5 Medications | 4% | 4 | 5 | 5 | 4 | 4 | 5 | 5 | 6 | |
| ≥6 Medications | 5 | 7 | 8 | 8 | 12 | 10 | 12 | 13 | 19 | |
| Blood pressure (%) | 78 | 73 | 76 | 76 | 80 | 78 | 87 | 86 | 94 | <0.001 |
| Urinalysis (%) | 12 | 11 | 10 | 10 | 8 | 12 | 10 | 10 | 8 | 0.02 |
| EKG (%) | 5 | 5 | 5 | 5 | 4 | 7 | 5 | 4 | 6 | 0.28 |
| X-ray (%) | 8 | 7 | 7 | 7 | 7 | 7 | 6 | 6 | 7 | 0.45 |
| Mammogram (%) | 2 | 2 | 2 | 2 | 3 | 2 | 2 | 2 | 3 | 0.56 |
| Other imaging (%) | 3 | 3 | 3 | 3 | 3 | 4 | 3 | 3 | 6 | <0.001 |
| Pap smear (%) | 3 | 4 | 3 | 3 | 3 | 3 | 2 | 2 | 2 | <0.01 |
| Hematocrit/hemoglob. (%) | 8 | 7 | 8 | 8 | 14 | 16 | 16 | 14 | 19 | <0.001 |
| Cholesterol (%) | 8 | 8 | 8 | 11 | 10 | 11 | 15 | 15 | 17 | <0.001 |
| PSA (%) | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 0.07 |
| Other blood work (%) | 19 | 20 | 24 | 22 | 21 | 20 | 22 | 22 | 26 | 0.03 |
| Diet counseling (%) | 22 | 22 | 21 | 21 | 16 | 22 | 20 | 21 | 21 | 0.28 |
| Exercise counseling (%) | 16 | 15 | 16 | 16 | 10 | 15 | 15 | 13 | 16 | 0.24 |
| Mental health counseling (%) | 5 | 5 | 5 | 5 | 4 | 6 | 5 | 5 | 6 | 0.31 |
| Tobacco counseling (%) | 4 | 5 | 6 | 4 | 4 | 4 | 4 | 4 | 5 | 0.13 |
| Physical therapy (%) | 2 | 3 | 3 | 3 | 1 | 2 | 2 | 2 | 2 | 0.11 |
Abbreviations: PSA: prostate-specific antigen; EKG: electrocardiogram resonance imaging
*P value based on chi-square test of variable by year